Employee Performance Appraisal Form

Personal Data

Name Date of Joining

Designation Date of Appraisal

Department Name of Appraiser

Employee Code Location

Reason for Appraisal

1. Annual Appraisal
2. Half Year Review
3. End of Probation
4. Promotion Review
5. Others __________________________

Rating System

1. Significantly Below Average

2. Below Average
3. Average
4. Above Average
5. Outstanding

Instructions
1. Please put your answers in precise manner with neat and understandable hand writing.
2. Please do not fold this form and present it in the good condition.
3. No duplicate form will be provided; in case this form misplaced by you.
4. Please Submit on or before the date of submission as mention in the form.
5. Non submission of form will be considered as misconduct and it will be presumed that
no appraisal is desired by the employee.
Part I - Self Appraisal
Apraisee is suppose to complete this questionnaire before interview and submit it to the appraiser till date :

1. State your understanding of your main duties and responsibilities :

2. What do you consider to be your most important achievements of the past year?

3. What elements of your job do you find most difficult ?

4. What elements of your job interest you the most, and least ?

5. What do you consider to be your most important aims and tasks in 2010 ?
6. What action could be taken to improve your performance in your current position by you, and your boss?

7. What kind of work or job would you like to be doing in one/two/five years time?

8. What sort of training/experiences would benefit you in the next year? ( Only job-skills )
Part II - KRA Review

Weightage
Sr No KRAs in % Quarter 1 Quarter 2
Target Achieved Ratings Target Achieved
KRA 1:
Description: 20 18 90 20 11

a
KRA 2:
Description: 20 12 60 20 15

b
KRA 3:
Description: 20 18 90 20 16

c
KRA 4:
Description: 20 12 60 20 12

d
KRA 5:
Description: 20 12 60 20 11

e
Quartertly Ratings 0 100 72 100
Average Rating 3.6

Scale Rating System

5 Significantly Below Average 1
4 Below Average 2
3 Average 3
2 Above Average 4
1 Outstanding 5
Quarter 2 Quarter 3 Quarter 4 Annual Review
Ratings Target Achieved Ratings Target Achieved Ratings Target Achieved

55 20 17 85 20 15 75

75 20 20 100 20 11 55

80 20 22 110 20 22 110

60 20 8 40 20 12 60

55 20 6 30 20 11 55

65 100 73 100 71 70.25

3.25 3.65 3.55 4
 Part III - Final Comments
Comments by Employee

(apart from comments on the assessment, this column could also cover reasons for the current level of performance
constraints or grievances, suggestions for improvements, etc.)

Comments by Appraiser

( This will summarise the contents of the post appraisal discussion besides other comments on developmental needs,
potential for other jobs, etc.)

Employee Signature: Date:

Final Result and Recommendation

(Only for Appraiser's comment and this need to be maintained confidential till it's approved by Management)

Promotion Warning

Status Remain Unchanged Successful completion of Probation

Salary Increment Termination

Training requirements

Specific requirements

Recommended Increase (If applicable) :

Appraiser's Name / Signature HR Head Name / Signature